Jesse Koskovick, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2411020 Issued in AR

Practice address

2113 S 54TH St Ste 5
Rogers, AR 72758-8169

Phone

(402) 210-8224

NPI assigned

Feb 12, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teen Focused Counseling LLC

  • Professional Counselor
  • Rogers, AR
  • NPI 1740107481
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1891327383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 REDFREE DR",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123099",
            "telephone_number": "479-357-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 S 54TH ST STE 5",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588169",
            "telephone_number": "402-210-8224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2108 S 54th St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588125",
            "country_code": "US",
            "telephone_number": "479-357-2661",
            "fax_number": "479-546-2292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSKOVICK",
        "first_name": "JESSE",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AR",
            "license": "19-77966",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2411020",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "A2107016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Kollman
• Stephanie Leighann Koonce, M.D.
• Sydney Koonce
• Caroline Kilpatrick Koone, OT
• Steven Kory, MD
• Michael Kramer
• Virginia Krauft, ED.D
• Emily Susan Kriehn, LCSW
• Kristin Bailey Therapy LLC
• Natalie Mills Krodell, NURSE PRACTITIONER

• Professional Counselor in Rogers, AR
• Providers in Rogers, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.